UNIFIED PROGRAM (UP) FORM CalARP PROGRAM REGULATED SUBSTANCE REGISTRATION THIS PAGE IS TO BE COMPLETED FOR A STATIONARY SOURCE THAT HANDLES A REGULATED SUBSTANCE (RS) IN A PROCESS AT OR ABOVE THE THRESHOLD QUANTITY. REGULATED SUBSTANCES (INCLUDING FEDERAL LISTED AND STATE LISTED REGULATED SUBSTANCES) MUST BE REGISTERED FOR THE PURPOSE OF COMPLYING WITH THE Cal ARP (CALIFORNIA ACCIDENTAL RELEASE PREVENTION) PROGRAM. THE OWNER OR OPERATOR SHALL COMPLETE A HAZARDOUS MATERIALS INVENTORY FORM AND A REGISTRATION FOR EACH REGULATED SUBSTANCE PER EACH PROCESS. UPDATE REASON FORM IS BEING SUBMITTED: BUSINESS NAME 2 USEPA FACILITY ID # 246d NAME OF CORPORATE PARENT COMPANY PERSON RESPONSIBLE FOR RMP (First Name, Last Name) PROGRAM LEVEL 1 2 3 247 E-MAIL ADDRESS (Optional) 246i LONGITUDE LOCATION DESCRIPTION LEPC COMMITTEE (Optional) 208 DOES THE FACILITY HAVE SUBSTANCES LISTED IN 40 CFR 355 APPENDIX A (EHS)? YES NO IS FACILITY SUBJECT TO 29CFR 1910.119/CCR 8 SEC 5189(PSM) ? YES NO CHEMICAL NAME MAXIMUM DAILY AMOUNT PROCESS DESCRIPTION 246e 246g 246h PHONE NUMBER RMP PREPARER MAILING ADDRESS 246c 106 COMPANY HOMEPAGE ADDRESS (Optional) NAME OF RMP PREPARER 246k WITHDRAWAL DUN & BRADSTREET TITLE 246f PARENT COMPANY E-MAIL ADDRESS (Optional) LATITUDE DE-REGISTRATION 3 1 FACILITY ID# CORRECTION PHONE NUMBER FOR PUBLIC INQUIRIES (Optional) 246l METHOD USED TO OBTAIN LATITUDE AND LONGITUDE 246n NUMBER OF EMPLOYEES 246o PROCESS 107NAICS 246p 246j 246m 107a OSHA VOLUNTARY PROTECTION PROGRAM STATUS (Optional) 246r DO ANY PROCESSES REQUIRE A CLEAN AIR ACT PERMIT NO. TITLE V OPERATING PERMIT? YES NO 246q 246 t 246u LAST SAFETY INSPECTION DATE AGENCY 205 218a CAS# UNITS IN POUNDS 246s 209 221 246v 246w PRINCIPAL EQUIPMENT CERTIFICATION I, the owner or operator of the aforementioned business, hereby certify that the registration information provided above is true, accurate, and complete to the best of my knowledge based upon reasonable inquiry. I am fully aware that this certification executed on the date indicated below is made under penalty of perjury under the laws of the State of California. 246x 246y OWNER/OPERATOR NAME OWNER/OPERATOR TITLE OWNER/OPERATOR SIGNATURE 246z DATE 1 UP FORM (04/28/2010 Long Version) THE CUPAs OF LOS ANGELES COUNTY LAC4 UPFORMS3 UNIFIED PROGRAM (UP) FORM CalARP PROGRAM REGULATED SUBSTANCE REGISTRATION THIS PAGE IS TO BE COMPLETED FOR A STATIONARY SOURCE THAT HANDLES A REGULATED SUBSTANCE (RS) IN A PROCESS AT OR ABOVE THE THRESHOLD QUANTITY. REGULATED SUBSTANCES (INCLUDING FEDERAL LISTED AND STATE LISTED REGULATED SUBSTANCES) MUST BE REGISTERED FOR THE PURPOSE OF COMPLYING WITH THE Cal ARP (CALIFORNIA ACCIDENTAL RELEASE PREVENTION) PROGRAM. THE OWNER OR OPERATOR SHALL COMPLETE A HAZARDOUS MATERIALS INVENTORY FORM AND A REGISTRATION FOR EACH REGULATED SUBSTANCE PER EACH PROCESS. UPDATE REASON FORM IS BEING SUBMITTED: BUSINESS NAME 2 USEPA FACILITY ID # 246d NAME OF CORPORATE PARENT COMPANY PERSON RESPONSIBLE FOR RMP (First Name, Last Name) PROGRAM LEVEL 1 2 3 247 E-MAIL ADDRESS (Optional) 246i LONGITUDE LOCATION DESCRIPTION 246h 246j PHONE NUMBER FOR PUBLIC INQUIRIES (Optional) 246l METHOD USED TO OBTAIN LATITUDE AND LONGITUDE 246n NUMBER OF EMPLOYEES 246o 246m 107a PROCESS 107NAICS 246p LEPC COMMITTEE (Optional) 208 DOES THE FACILITY HAVE SUBSTANCES LISTED IN 40 CFR 355 APPENDIX A (EHS)? YES NO IS FACILITY SUBJECT TO 29CFR 1910.119/CCR 8 SEC 5189(PSM) ? YES NO CHEMICAL NAME OSHA VOLUNTARY PROTECTION PROGRAM STATUS (Optional) 246r DO ANY PROCESSES REQUIRE A CLEAN AIR ACT PERMIT NO. TITLE V OPERATING PERMIT? YES NO 24 LAST SAFETY INSPECTION 6t DATE AGENCY 205 CAS# 218a MAXIMUM DAILY AMOUNT 246e 246g PHONE NUMBER RMP PREPARER MAILING ADDRESS 246c 106 COMPANY HOMEPAGE ADDRESS (Optional) NAME OF RMP PREPARER 246k WITHDRAWAL DUN & BRADSTREET TITLE 246f PARENT COMPANY E-MAIL ADDRESS (Optional) LATITUDE DE-REGISTRATION 3 1 FACILITY ID# CORRECTION 246q 246s 246u 209 221 UNITS IN POUNDS PROCESS DESCRIPTION 246v PRINCIPAL EQUIPMENT 246w CERTIFICATION I, the owner or operator of the aforementioned business, hereby certify that the registration information provided above is true, accurate, and complete to the best of my knowledge based upon reasonable inquiry. I am fully aware that this certification executed on the date indicated below is made under penalty of perjury under the laws of the State of California. 246x 246y OWNER/OPERATOR NAME OWNER/OPERATOR TITLE OWNER/OPERATOR SIGNATURE OFFICIAL USE ONLY DIV BN 246z DATE DATE RECEIVED STA REVIEWED BY DISTRICT OTHER CUPA 2 UP FORM (04/28/2010 Long Version) THE CUPAs OF LOS ANGELES COUNTY LAC4 UPFORMS3 PA CalARP PROGRAM REGULATED SUBSTANCE REGISTRATION This page is to be completed for a Stationary Source that handles a Regulated Substance (RS) in a process at or above the threshold quantity. Regulated Substances (including Federal and State Listed Regulated Substances) must be registered for the purpose of complying with the California Accidental Release Prevention (Cal ARP) program. The owner or operator shall complete a Hazardous Materials Inventory – Chemical Description page and a Regulated Substance Registration for each Regulated Substance per process. Contact your local agency (CUPA or PA) for any additional assistance. 1. 2. 3. 106. 107a. 205. 208. 209. 218a. 221. 246c. 246d. 246e. 246f. 246g. 246h. 246i. 246j 246k 246l. 246m. 246n. 246o. 246p. 246q. 246r. 246s. 246t. 246u. 246v. 246w. 246x. 246y. 246z. 247 Note: A list of Federal and State Regulated Substances is attached for your reference. FACILITY ID NUMBER This number is assigned by the CUPA. This unique number identifies your facility. EPA ID NUMBER Enter your facility’s 12-character EPA identification number issued by the USEPA. BUSINESS NAME Enter the full legal name of the business. DUN & BRADSTREET Enter the Dun and Bradstreet number of the Principal Company or entity which owns at least 50 percent of the voting stock. The Dun and Bradstreet number allows your business to be cross-referenced to various business information. You may be able to obtain this number from your finance department. If your business does not have this information, contact Dun and Bradstreet at (610) 882-7748 or via the internet at www.dnb.com. PROCESS NAICS CODE Enter the specific North American Industry Classification System Code for the process using, treating, storing, producing, disposing, or otherwise handling regulated substances. CHEMICAL NAME Enter the proper chemical name associated with the Chemical Abstract Service (CAS) number of the hazardous material. This should be the International Union of Pure and Applied Chemistry (IUPAC) name found on the Material Safety Data Sheet (MSDS). EPCRA SECTION 355 Check "Yes" if the stationary source is subject to Part 355 of Title 40 of CFR. CAS # Enter the Chemical Abstract Service number for the hazardous material. MAXIMUM DAILY AMOUNT Enter the maximum amount of hazardous material or mixture containing a hazardous material which is handled in the process at any one time over the course of the year. UNITS IN POUNDS Leave this box blank. Note: All Regulated Substances must be reported in pounds to two significant digits. PROGRAM LEVEL Indicate the proper Program Level this process falls under. Mark either Program 1, 2, or 3 to identify with which program the process complies. NAME OF CORPORATE PARENT COMPANY Enter the legal name of the Principal Company or entity which owns at least 50 percent of the voting stock. PERSON RESPONSIBLE FOR RMP Enter name, title and (optional) e-mail address of the person designated as responsible for the RMP. PARENT COMPANY E-MAIL ADDRESS (Optional) Enter the e-mail address of the parent company (optional information). COMPANY HOMEPAGE ADDRESS (Optional) Enter the web address of the company (optional information). NAME / PHONE NUMBER OF RMP PREPARER Enter the contractor’s name and phone number who prepared the RMP (if any). RMP PREPARER MAILING ADDRESS Enter the mailing address of the contractor that prepared the RMP (if any). PHONE NUMBER FOR PUBLIC INQUIRIES (Optional) Enter a phone number that the public may call if they have questions about your facility or your RMP (optional information). LATITUDE Enter the degrees of latitude where the chemical process is located. The latitude of your facility can be determined in several ways, including through the use of U.S. Geological Survey (USGS), global positioning system (GPS) receivers, and web-based siting tools. Latitude is the degrees north or south of the equator. Latitude is measured in degrees, minutes, and seconds. We recommend the use of USGS topographical quadrangle maps to make this determination. When using USGS, the valid latitudes for LA County range from 3317'53N to 3449'14N. Be sure the latitude fits this range. LONGITUDE Enter the degrees of longitude where the chemical process is located. The longitude of your facility can be determined in several ways, including through the use of USGS, GPS receivers, and web-based siting tools. Longitude is the degrees east or west of the prime meridian. Longitude is measured in degrees, minutes, and seconds. We recommend the use of USGS topographical quadrangle maps to make this determination. When using USGS, the valid longitudes for LA County range from 11738'39W to 11856'39W. Be sure the latitude fits this range. METHOD USED TO OBTAIN LATITUDE AND LONGITUDE Source of latitude and longitude information. LOCATION DESCRIPTION A description of location that latitude and longitude represent. NUMBER OF EMPLOYEES The number of full time employees at the stationary source. LEPC COMMITTEE (Optional) Enter the Local Emergency Planning Committee to which the facility belongs (optional information). OSHA VOLUNTARY PROTECTION PROGRAM STATUS (Optional) Enter whether you participate in this OSHA program and the status of your facility (optional information). Program levels are Star, Merit, or Star Demonstration. CAA TITLE V State and local operating permit programs are required under Title V of the Clean Air Act (40 CFR Part 70). Title V requires major sources of air pollution to receive permits, pay fees to cover cost of administering the program, and sign a binding certification of compliance on all permit applications and documents. Check the appropriate box, "yes" or "no." PERMIT NUMBER If you have a Title V operating permit, enter the permit number. OSHA PSM The OSHA Process Safety Management Standard, codified at 29 CFR 1910.119, is similar to the Program 3 prevention program, and is designed to protect workers from the effects of accidental releases of hazardous substances. Note: This question covers all processes at your facility; if any process at your facility is subject to OSHA PSM, you must answer yes even if the PSM process does not involve a Regulated Substance. Answer the question either "yes" or "no." LAST SAFETY INSPECTION Enter the date of the last safety inspection of your facility and indicate the Agency (OSHA, State OSHA, EPA, State EPA, Fire Dept., etc..) that performed the inspection. PROCESS DESCRIPTION Describe the process and/or operations involved in the use, treatment, storage, production, disposal or otherwise handling of the regulated substances (include process pressures and temperature, and whether it is a raw material or an intermediate). Note: Any group of interconnected vessels or separate vessels, located such that a regulated substance could be involved in a potential release, is considered a single process. PRINCIPAL EQUIPMENT List the equipment and/or components used in the process involving the Regulated Substance. NAME OF OWNER / OPERATOR The full name of the owner/operator who signed the registration page. TITLE Enter the title of the person signing the page. DATE Enter the date the page was signed. REASON FORM IS BEING SUBMITTED Check “Update” box if the RMP is submitted for 5-year update, process change that requires a revised PHA or hazard review or any reasons discussed in 19 CCR 2745.10; check “Correction” box if there is change or error in administrative information, a new accident history information, or change in emergency contact information; check “De-registration” box if the facility is no longer subject to the CalARP Program; check “Withdrawal” box if the facility was erroneously considered subject to the CalARP Program. 3 UP FORM (04/28/2010 Long Version) THE CUPAs OF LOS ANGELES COUNTY LAC4 UPFORMS3 CalARP PROGRAM REGULATED SUBSTANCES LIST CHEMICAL NAME CAS # TQ (lbs) Acetaldehyde 75-07-0 10,000 * Acetone Cyanohydrin 75-86-5 1,000 Acetone Thiosemicarbazide 1752-30-3 1,000/10,0001 Acetylene (Ethyne) 74-86-2 10,000 Acrolein (2-Propenal) 107-02-8 500 Acrylamide 79-06-1 1,000/10,0001 Acrylonitrile (2- Propenenitrile) 107-13-1 10,000 Acrylyl Chloride (2-Propenoyl Chloride) 814-68-6 100 Aldicarb 116-06-3 100/10,0001 Aldrin 309-00-2 500/10,0001 Allyl Alcohol (2-Propen-1-ol) 107-18-6 1,000 Allylamine (2-Propen-1-Amine) 107-11-9 500 Aluminum Phosphide 20859-73-8 500 Aminopterin 54-62-6 500/10,0001 1 Amiton Oxalate 3734-97-2 100/10,000 Ammonia, Anhydrous 2 7664-41-7 500 Ammonia, Aqueous 7664-41-7 500 * Aniline 62-53-3 1,000 Antimycin A 1397-94-0 1,000/10,0001 ANTU (1-Naphthalenylthiourea) 86-88-4 500/10,0001 Arsenic Pentoxide 1303-28-2 100/10,0001 Arsenous Oxide (Arsenic Trioxide) 1327-53-3 100/10,0001 Arsenous Trichloride 7784-34-1 500 Arsine (Arsenic Hydride) 7784-42-1 100 Azinphos-Ethyl 2642-71-9 100/10,0001 Azinphos-Methyl [Guthion] 86-50-0 10/10,0001 Benzene, 1-(Chloromethyl)-4-Nitro100-14-1 500/10,0001 Benzenearsonic Acid 98-05-5 10/10,0001 Benzimidazole,4,5-Dichloro-2-(Trifluoromethyl)3615-21-2 500/10,0001 * Benzotrichloride (Benzoictrichloride) 98-07-7 100 Bicyclo(2.2.1) Heptane-2-Carbonitrile, 5-Chloro6-((((Methylamino)Carbonyl)Oxy)Imino)-, (1s-(1-alpha, 2-beta, 4-alpha, 5-alpha, 6E))- 15271-41-7 500/10,0001 Bis(Chloromethyl) Ketone 534-07-6 10/10,0001 Bitoscanate 4044-65-9 500/10,0001 Boron Trichloride (Trichloroborane) 10294-34-5 500 Boron Trifluoride (Trifluoroborane) 7637-07-2 500 Boron Trifluoride Compound w/Methyl Ether(1:1) (Boron, Trifluoro (Oxybis (Metane)))-,T-4353-42-4 1,000 Bromadiolone 28772-56-7 100/10,0001 Bromine 7726-95-6 500 Bromotrifluorethylene (Ethene, Bromotrifluoro-) 598-73-2 10,000 1,3-Butadiene 106-99-0 10,000 Butane 106-97-8 10,000 Butene 25167-67-3 10,000 1-Butene 106-98-9 10,000 2-Butene 107-01-7 10,000 2-Butene-cis 590-18-1 10,000 2-Butene-trans (2-Butene, (E)) 624-64-6 10,000 Cadmium Oxide 1306-19-0 100/10,0001 Cadmium Stearate 2223-93-0 1,000/10,0001 Calcium Arsenate 7778-44-1 500/10,0001 Camphechlor 8001-35-2 500/10,0001 Cantharidin 56-25-7 100/10,0001 Carbachol Chloride 51-83-2 500/10,0001 Carbamic Acid, Methyl-,o-(((2,4-Dimethyl1,3-Dithiolan-2-YL) Methylene)Amino)26419-73-8 100/10,0001 Carbofuran 1563-66-2 10/10,0001 Carbon Disulfide 75-15-0 10,000 Carbon Oxysulfide (Carbon Oxide Sulfide (COS)) 463-58-1 10,000 Chlorine 7782-50-5 100 Chlorine Dioxide (Chlorine Oxide (ClO2)) 10049-04-4 1,000 c Chlorine Monoxide (Chlorine Oxide) 7791-21-1 10,000 1 Chlormequat Chloride 999-81-5 100/10,000 Chloroacetic Acid 79-11-8 100/10,0001 Chloroform (Methane, trichloro-) 67-66-3 10,000 Chloromethyl Ether (Methane,Oxybis(chloro-) 542-88-1 100 Chloromethyl Methyl Ether (Chloromethoxymethane) 107-30-2 100 Chlorophacinone 3691-35-8 100/10,0001 1-Chloropropylene (1-Propene, 1-Chloro-) 590-21-6 10,000 2-Chloropropylene (1-Propene, 2-Chloro-) 557-98-2 10,000 Chloroxuron 1982-47-4 500/10,0001 Chromic Chloride 10025-73-7 1/10,000 1 Cobalt,((2,2'-(1,2-Ethanediylbis(Nitrilomethylidine)) Bis(6-Fluorophenolato))(2-)-N,N',O,O')62207-76-5 100/10,0001 Cobalt Carbonyl 10210-68-1 10/10,0001 Colchicine 64-86-8 10/10,0001 Coumaphos 56-72-4 100/10,0001 Coumatetralyl 5836-29-3 500/10,0001 o-Cresol 95-48-7 1,000/10,0001 Crimidine 535-89-7 100/10,0001 Crotonaldehyde ((E)-(2-Butenal,(E))-) 123-73-9 1,000 Listing Basis g CHEMICAL NAME TQ Listing (lbs) Basis Crotonaldehyde (2-Butenal) 4170-30-3 1,000 b Cyanogen (Ethanedinitrile) 460-19-5 10,000 f 1 Cyanogen Bromide 506-68-3 500/10,000 Cyanogen Chloride 506-77-4 10,000 c Cyanogen Iodide 506-78-5 1,000/10,0001 Cyanuric Fluoride 675-14-9 100 Cycloheximide 66-81-9 100/10,0001 Cyclohexylamine (Cyclohexanamine) 108-91-8 10,000 b Cyclopropane 75-19-4 10,000 f 1 Decaborane (14) 17702-41-9 500/10,000 1 Dialifor 10311-84-9 100/10,000 Diborane 19287-45-7 100 b Dichlorosilane (Silane, Dichloro-) 4109-96-0 10,000 f * Diepoxybutane 1464-53-5 500 Difluoroethane (Ethane, 1,1-Difluoro-) 75-37-6 10,000 f Digitoxin 71-63-6 100/10,0001 1 Digoxin 20830-75-5 10/10,000 Dimethoate 60-51-5 500/10,0001 Dimethyl-p-Phenylenediamine 99-98-9 10/10,0001 * Dimethyl Sulfate 77-78-1 500 Dimethylamine (Methanamine, N-Methyl-) 124-40-3 10,000 f Dimethyldichlorosilane 75-78-5 500 b Dimethylhydrazine (1,1-Dimethylhydrazine) 57-14-7 1,000 b 2,2-Dimethylpropane (Propane, 2,2-Dimethyl-) 463-82-1 10,000 f Dimetilan 644-64-4 500/10,0001 Dinitrocresol (4,6-Dinitro-o-Cresol) 534-52-1 10/10,0001 Dinoseb 88-85-7 100/10,0001 Dinoterb 1420-07-1 500/10,0001 Diphacinone 82-66-6 10/10,0001 * Disulfoton 298-04-4 500 Dithiazanine Iodide 514-73-8 500/10,0001 Dithiobiuret 541-53-7 100/10,0001 Emetine, Dihydrochloride 316-42-7 1/10,0001 Endosulfan 115-29-7 10/10,0001 Endothion 2778-04-3 500/10,0001 Endrin 72-20-8 500/10,0001 Epichlorohydrin ((Chloromethyl) Oxirane) 106-89-8 1,000 b EPN (Phenylphosphonothioic Acid o-Ethylo(4-Nitrophenyl) Ester) 2104-64-5 100/10,0001 Ergocalciferol 50-14-6 1,000/10,0001 Ergotamine Tartrate 379-79-3 500/10,0001 Ethane 74-84-0 10,000 f Ethyl Acetylene (1-Butyne) 107-00-6 10,000 f Ethyl Chloride (Ethane, Chloro-) 75-00-3 10,000 f Ethyl Ether (Ethane, 1,1'-Oxybis-) 60-29-7 10,000 g Ethyl Mercaptan (Ethanethiol) 75-08-1 10,000 g Ethyl Nitrite (Nitrous Acid, Ethyl Ester) 109-95-5 10,000 f Ethylamine (Ethanamine) 75-04-7 10,000 f Ethylene (Ethene) 74-85-1 10,000 f Ethylene Fluorohydrin 371-62-0 10 Ethylene Oxide (Oxirane) 75-21-8 1,000 a,b Ethylenediamine (1,2-Ethanediamine) 107-15-3 10,000 b Ethyleneimine (Aziridine) 151-56-4 500 b 1 Fenamiphos 22224-92-6 10/10,000 1 Fluenetil 4301-50-2 100/10,000 Fluorine 7782-41-4 500 b Fluoroacetamide 640-19-7 100/10,0001 1 Fluoroacetic Acid 144-49-0 10/10,000 Fluoroacetyl Chloride 359-06-8 10 Fluorouracil 51-21-8 500/10,0001 Formaldehyde 2 50-00-0 500 b Formetanate Hydrochloride 23422-53-9 500/10,0001 1 Formparanate 17702-57-7 100/10,000 Fuberidazole 3878-19-1 100/10,0001 Furan 110-00-9 500 b Gallium Trichloride 13450-90-3 500/10,000 Hydrazine 302-01-2 1,000 b Hydrochloric Acid (conc 37% or greater) 7647-01-0 15,000 d Hydrocyanic Acid 74-90-8 100 a,b Hydrogen 1333-74-0 10,000 f Hydrogen Chloride,(Gas) 7647-01-0 500 a Hydrogen Cyanide (Hydrocyanic Acid), (Gas) 74-90-8 100 Hydrogen Fluoride/Hydrofluoric Acid (Hydrofluoric Acid) 7664-39-3 100 a,b Hydrogen Selenide 7783-07-5 10 b Hydrogen Sulfide 7783-06-4 500 a,b 4 1 * Hydroquinone 123-31-9 500/10,000 Iron, Pentacarbonyl(Iron Carbonyl (Fe(CO)5, (TB-5-11)-) 13463-40-6 100 b Isobenzan 297-78-9 100/10,0001 Isobutane (Propane, 2-Methyl) 75-28-5 10,000 f f b b b b b a,b a,b b b b b b a,b f f f f f f f f b f a,b f b b b g g CAS # b 4 UP FORM (04/28/2010 Long Version) THE CUPAs OF LOS ANGELES COUNTY LAC4 UPFORMS3 CalARP PROGRAM REGULATED SUBSTANCES LIST CHEMICAL NAME CHEMICAL NAME CAS # TQ (lbs) Isobutyronitrile (2-Methylpropanenitrile) 78-82-0 1,000 Isocyanic Acid,3,4-Dichlorophenyl Ester 102-36-3 500/10,0001 Isodrin 465-73-6 100/10,0001 Isopentane (Butane, 2-Methyl-) 78-78-4 10,000 Isophorone Diisocyanate 4098-71-9 100 Isoprene (1,3-Butadiene, 2-Methyl-) 78-79-5 10,000 Isopropyl Chloride (Propane, 2-Chloro-) 75-29-6 10,000 Isopropyl Chloroformate (Carbonochloridic Acid, 1-Methylethyl Ester) 108-23-6 1,000 Isopropylamine (2-Propanamine) 75-31-0 10,000 Leptophos 21609-90-5 500/10,0001 * Lewisite (Chlorovinylarsine Dichloride) 541-25-3 10 Lindane 58-89-9 1,000/10,0001 Lithium Hydride 7580-67-8 100 Malononitrile 109-77-3 500/10,0001 * Manganese,Tricarbonyl Methylcyclopentadienyl 12108-13-3 100 Mercuric Acetate 1600-27-7 500/10,0001 Mercuric Chloride 7487-94-7 500/10,0001 Mercuric Oxide 21908-53-2 500/10,0001 Methacrylonitrile (Methylacrylonitrile) (2-Methyl-2-Propenenitrile) 126-98-7 500 Methacryloyl Chloride 920-46-7 100 Methacryloyloxyethyl Isocyanate 30674-80-7 100 Methamidophos 10265-92-6 100/10,0001 Methane 74-82-8 10,000 Methanesulfonyl Fluoride 558-25-8 1,000 Methidathion 950-37-8 500/10,0001 Methiocarb (Mercaptodimethur) 2032-65-7 500/10,0001 Methomyl 16752-77-5 500/10,0001 Methoxyethylmercuric Acetate 151-38-2 500/10,0001 2-Methyl-1-Butene 563-46-2 10,000 3-Methyl-1-Butene 563-45-1 10,000 Methyl 2-Chloroacrylate 80-63-7 500 Methyl Bromide (Bromomethane) 74-83-9 1,000 Methyl Chloride (Methane, Chloro-) 74-87-3 10,000 Methyl Chloroformate (Carbonochloridic Acid, Methyl Ester) 79-22-1 500 Methyl Ether (Methane, Oxybis-) 115-10-6 10,000 Methyl Formate (Formic Acid, Methyl Ester) 107-31-3 10,000 Methyl Hydrazine 60-34-4 500 Methyl Isocyanate (Isocyanatomethane) 624-83-9 500 Methyl Isothiocyanate 556-61-6 500 Methyl Mercaptan (Methanethiol) (Thiomethanol) 74-93-1 500 Methyl Parathion (Parathion Methyl) 298-00-0 100/10,0001 Methyl Phosphonic Dichloride 676-97-1 100 Methyl Thiocyanate (Thiocyanic Acid, Methyl Ester) 556-64-9 10,000 b Methyl Vinyl Ketone 78-94-4 10 Methylamine (Methanamine) 74-89-5 10,000 Methylmercuric Dicyanamide 502-39-6 500/10,0001 2-Methylpropene (1-Propene, 2-Methyl-) 115-11-7 10,000 Methyltrichlorosilane (Trichloromethylsilane) 75-79-6 500 Metolcarb 1129-41-5 100/10,0001 Mexacarbate 315-18-4 500/10,0001 Mitomycin C 50-07-7 500/10,0001 Monocrotophos 6923-22-4 10/10,0001 Muscimol (5-(Aminomethyl)-3-Isoxazolol) 2763-96-4 500/10,0001 * Mustard Gas (2,2'- Dichloroethyl Sulfide) 505-60-2 500 Nickel Carbonyl (Nickel Tetracarbonyl) 13463-39-3 1 Nicotine Sulfate 65-30-5 100/10,0001 Nitric Acid 7697-37-2 1,000 Nitric Oxide (Nitrogen Monoxide (NO)) 10102-43-9 100 * Nitrobenzene 98-95-3 10,000 Nitrogen Dioxide 10102-44-0 100 * Nitrogen Mustard (Mechlorethamine) 51-75-2 10 Norbormide 991-42-4 100/10,0001 Oleum (Fuming Sulfuric Acid) (Sulfuric Acid, mixture with Sulfur Trioxide)5 8014-95-7 10,000 Organorhodium Complex (PMN-82-147) MIXTURE 10/10,0001 Ouabain 630-60-4 100/10,0001 Oxamyl 23135-22-0 100/10,0001 Ozone 10028-15-6 100 Paraquat Methosulfate 2074-50-2 10/10,0001 Paraquat (Paraquat Dichloride) 1910-42-5 10/10,0001 Paris Green (Cupric Acetoarsenite) 12002-03-8 500/10,0001 Pentaborane 19624-22-7 500 Pentadecylamine 2570-26-5 100/10,0001 1,3-Pentadiene 504-60-9 10,000 Pentane 109-66-0 10,000 1-Pentene 109-67-1 10,000 2-Pentene, (E)646-04-8 10,000 2-Pentene, (Z)627-20-3 10,000 Peracetic Acid (Ethaneperoxoic Acid) (Peroxyacetic Acid) 79-21-0 500 Perchloromethylmercaptan (Trichloromethanesulfonyl Chloride) 594-42-3 500 Phenol 108-95-2 500/10,0001 Phenol, 2,2'-Thiobis(4-Chloro-6-Methyl) 4418-66-0 100/10,0001 Phenol, 3-(1-Methylethyl)-, Methylcarbamate) 64-00-6 500/10,0001 Phenoxarsine, 10, 10' - Oxydi58-36-6 500/10,0001 * Phenyldichloroarsine (Dichlorophenylarsine) (Lewisite Variant) 696-28-6 500 CAS # TQ (lbs) 1,000/10,0001 500/10,0001 100/10,0001 100/10,0001 10 100/10,0001 100/10,0001 Phenylhydrazine Hydrochloride 59-88-1 Phenylmercury Acetate 62-38-4 Phenylsilatrane 2097-19-0 Phenylthiourea 103-85-5 * Phorate 298-02-2 Phosacetim 4104-14-7 Phosfolan 947-02-4 Phosgene (Carbonyl Chloride) (Carbonic Dichloride) 75-44-5 10 Phosmet 732-11-6 10/10,0001 Phosphine (Hydrogen Phosphide) 7803-51-2 500 * Phosphonothioic Acid, Methyl-,S-(2-(Bis (1-Methylethyl)Amino)Ethyl) O-Ethyl Ester 50782-69-9 100 Phosphorus 7723-14-0 100 Phosphorus Oxychloride 10025-87-3 500 Phosphorus Pentachloride 10026-13-8 500 Phosphorus Trichloride 7719-12-2 1,000 Physostigmine 57-47-6 100/10,0001 Physostigmine, Salicylate (1:1) 57-64-7 100/10,0001 Picrotoxin 124-87-8 500/10,0001 Piperidine 110-89-4 1,000 Potassium Arsenite 10124-50-2 500/10,0001 Potassium Cyanide 151-50-8 100 Potassium Silver Cyanide 506-61-6 500 Promecarb 2631-37-0 500/10,0001 Propadiene (1,2-Propadiene) 463-49-0 10,000 Propane 74-98-6 10,000 Propargyl Bromide (3-Bromopropyne) 106-96-7 10 * beta-Propiolactone 57-57-8 500 Propionitrile (Propanenitrile)(Ethyl Cyanide) 107-12-0 500 Propiophenone, 4'-Amino70-69-9 100/10,0001 Propyl Chloroformate (Carbonochloridic Acid, Propylester) 109-61-5 500 Propylene (1-Propene) 115-07-1 10,000 Propylene Oxide (Methyloxirane) 75-56-9 10,000 Propyleneimine (2-Methylaziridine) 75-55-8 10,000 Propyne (1-Propyne) 74-99-7 10,000 Prothoate 2275-18-5 100/10,0001 Pyrene 129-00-0 1,000/10,0001 Pyridine, 4-Amino504-24-5 500/10,0001 Pyridine, 4-Nitro-, 1-Oxide 1124-33-0 500/10,0001 Pyriminil 53558-25-1 100/10,0001 Salcomine 14167-18-1 500/10,0001 * Sarin 107-44-8 10 Selenious Acid 7783-00-8 1,000/10,0001 Semicarbazide Hydrochloride 563-41-7 1,000/10,0001 Silane 7803-62-5 10,000 Sodium Arsenate 7631-89-2 1,000/10,0001 Sodium Arsenite 7784-46-5 500/10,0001 Sodium Azide (Na (N3)) 26628-22-8 500 Sodium Cacodylate 124-65-2 100/10,0001 Sodium Cyanide (Na (CN)) 143-33-9 100 Sodium Fluoroacetate 62-74-8 10/10,0001 Sodium Selenate 13410-01-0 100/10,0001 Sodium Selenite 10102-18-8 100/10,0001 Sodium Tellurite 10102-20-2 500/10,0001 Stannane, Acetoxytriphenyl900-95-8 500/10,0001 Strychnine 57-24-9 100/10,0001 Strychnine, Sulfate 60-41-3 100/10,0001 Sulfur Dioxide (Anhydrous) 7446-09-5 500 Sulfur Tetrafluoride 7783-60-0 100 * Sulfuric Acid 3 7664-93-9 1,000 * Tabun 77-81-6 10 Tellurium Hexafluoride 7783-80-4 100 Tetrafluoroethylene (Ethene, Tetrafluoro-) 116-14-3 10,000 Tetramethyllead (Tetramethylplumbane) 75-74-1 100 Tetramethylsilane (Silane, Tetramethyl-) 75-76-3 10,000 Tetranitromethane (Methane, Tetranitro-) 509-14-8 500 Thallium Sulfate 10031-59-1 100/10,0001 Thallous Carbonate (Thallium (1) Carbonate) 6533-73-9 100/10,0001 Thallous Chloride (Thallium Chloride) 7791-12-0 100/10,0001 Thallous Malonate (Thallium Malonate) 2757-18-8 100/10,0001 Thallous Sulfate 7446-18-6 100/10,0001 Thiocarbazide 2231-57-4 1,000/10,0001 Thiofanox 39196-18-4 100/10,0001 Thiosemicarbazide 79-19-6 100/10,0001 Thiourea, (2-Chlorophenyl)5344-82-1 100/10,0001 Thiourea, (2-Methylphenyl)614-78-8 500/10,0001 Titanium Tetrachloride 7550-45-0 100 Toluene-2,6-Diisocyanate (1,3-Diisocyanato-2-Methylbenzene)5 91-08-7 100 Toluene-2,4-Diisocyanate 5 (2,4-Diisocyanato-1-Methylbenzene) 584-84-9 500 Toluene Diisocyanate (unspecified isomer) 5 (Benzene,1,3-Diisocyanatomethyl-) 26471-62-5 10,000 Triamiphos 1031-47-6 500/10,0001 Trichloro(Chloromethyl)Silane 1558-25-4 100 Trichloro(Dichlorophenyl)Silane 27137-85-5 500 Trichlorosilane (Silane, Trichloro-) 10025-78-2 10,000 Triethoxysilane 998-30-1 500 Trifluorochloroethylene 79-38-9 10,000 Trimethylamine (Methanamine, N,N-dimethyl-) 75-50-3 10,000 Trimethylchlorosilane (Chlorotrimethylsilane) 75-77-4 1,000 Trimethylolpropane Phosphite 824-11-3 100/10,0001 Listing Basis b g g g b g b f g f a b f g b a,b b f f b b b b e f g g g g b b 5 UP FORM (04/28/2010 Long Version) THE CUPAs OF LOS ANGELES COUNTY LAC4 UPFORMS3 Listing Basis a,b b b b b f f b b f b b f f a,b b f b g b b a a a g f f b CalARP PROGRAM REGULATED SUBSTANCES LIST CHEMICAL NAME CAS # Trimethyltin Chloride Triphenyltin Chloride * Tris(2-Chloroethyl)Amine Valinomycin Vanadium Pentoxide Vinyl Acetate Monomer (Vinyl Acetate) (Acetic Acid, Ethenyl Ester) Vinyl Acetylene (1-Buten-3-Yne) Vinyl Chloride (Ethene, Chloro-) Vinyl Ethyl Ether (Ethene, Ethoxy-) Vinyl Fluoride (Ethene, Fluoro-) Vinyl Methyl Ether (Ethene, Methoxy-) Vinylidene Chloride (Ethene, 1,1-Dichloro-) Vinylidene Fluoride (Ethene, 1,1-Difluoro-) Warfarin Warfarin Sodium (Coumadin) (Sodium salt) Xylylene Dichloride Zinc, Dichloro(4,4-Dimethyl-5((((Methylamino) Carbonyl)Oxy)Imino)Pentanenitrile)-, (T-4)Zinc Phosphide 1066-45-1 639-58-7 555-77-1 2001-95-8 1314-62-1 TQ (lbs) 500/10,0001 500/10,0001 100 1,000/10,0001 100/10,0001 108-05-4 689-97-4 75-01-4 109-92-2 75-02-5 107-25-5 75-35-4 75-38-7 81-81-2 129-06-6 28347-13-9 1,000 10,000 10,000 10,000 10,000 10,000 10,000 10,000 500/10,0001 100/10,0001 100/10,0001 Listing Basis b f a,f g f f g f 58270-08-9 100/10,0001 1314-84-7 500 * Substances delisted failing physical criteria test and relisted pursuant to health impacts. These extremely hazardous substances are solids. The lesser quantity listed applies only if in powdered form and with a particle size of less than 100 microns; or if handled in solution or in molten form; or the substance has an NFPA rating for reactivity of 2, 3, or 4. Otherwise, a 10,000 pound threshold applies. 2 Appropriate synonyms or mixtures of regulated substances with the same CAS number are also regulated, e.g., anhydrous ammonia,formalin. 3 Sulfuric acid is a State Regulated Substance only under the following conditions: a. If concentrated with greater than 100 pounds of sulfur trioxide or the acid meets the definition of oleum. (The threshold for sulfur trioxide is 100 pounds.) (The threshold for oleum is 10,000 pounds.) b. If in a container with flammable hydrocarbons (flash point < 73 F). 4 Hydroquinone is exempt in crystalline form. 5 The mixture exemption in Section 2770.2(b)(1) does not apply to the Substance. 1 LEGEND: Basis for Listing: a. Mandated for listing by Congress. b. On EHS list, vapor pressure 10 mmHg or greater. c. Toxic gas. d. Toxicity of hydrogen chloride, potential to release hydrogen chloride, and history of accidents. e. Toxicity of sulfur trioxide and sulfuric acid, potential to release sulfur trioxide, and history of accidents. f. Flammable gas. g. Volatile flammable liquid. 6 UP FORM (04/28/2010 Long Version) THE CUPAs OF LOS ANGELES COUNTY LAC4 UPFORMS3